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Sexual Communication and Seroadaptation Practices in HIV-Negative Midlife and Older Men Who Have Sex With Men

Bibliographic Data

ID11215014
AuthorsRobin J Jacobs (0000-0001-8235-4096, Nova Southeastern University, corresponding author), Michael N Kane (0000-0002-7511-776X, Florida Atlantic University), Elliot M Sklar (0009-0007-5246-7883, Nova Southeastern University)
Year2017
Volume43
Issue2
Pages193-204
Publication date2017-03-15
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Social Service Research (JOURNAL)
Journal identifiersISSN: 0148-8376 • E-ISSN: 1540-7314
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/01488376.2016.1248268
OpenAlexW2553334949
LanguageEN
Citations received1
References cited56

Advances in treatments have increased the longevity of people with HIV. The high prevalence of HIV among men who have sex with men (MSM) creates a greater risk for exposure that increases with age. Seroadaptation, which includes serosorting (sexual behavior and condom use based on knowing the serostatus of self and partners) and strategic sexual positioning (choosing receptive versus insertive anal sex), is sometimes used as an HIV risk-reduction strategy. This study examined seroadaptation, sexual communication, and HIV-risk behaviors in 420 sexually active HIV-negative MSM aged 40–81 years in South Florida via anonymous pen-and-paper questionnaire. Recreational drug use and serosorting (i.e., not using condoms if the partner said he was HIV-negative) were associated with higher risk for unprotected receptive anal intercourse. Younger age, greater number of partners, and serosorting were associated with higher risk for unprotected insertive anal intercourse. Understanding these behaviors in this group might help guide HIV-prevention efforts. Future research may examine the role of HIV-prevention medication (PrEP) in influencing sexual behavior in midlife and older MSM

Anal intercourse · Anal sex · Condom · Family medicine · Human immunodeficiency virus (HIV · Men who have sex with men · Pre-exposure prophylaxis · Psychiatry · Psychological intervention · Serostatus · Syphilis · Viral load · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Gerontology

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Unique citing works1
Citations per year0,2
Citation span2021 - 2021 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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